Occupational Self Analysis in People with a Serious Mental Illness.

University of Malaga18 enrolled

Overview

In this study we test the efectiveness of an intervention called 'Occupational sefl-analysys' where particiapants are taught to analyze what activities they do and why do they choose those activities. Also they are encouage to reflect about those occupations that don't do but will like to. In case they want to , they can make changes in their occupational routines. After he program we assessed the improvements in life satisfaction, participation in meaningful activities, perception of balance and occupational satisfaction,

The appearance of a mental disorder forces the person to modify their occupational choices and participation, due, among other aspects, to the continuous presence of symptoms and relapses. 'Occupational self-analysis' programs are based on increasing occupational awareness to promote changes in meaningful occupational participation. The objective of this study was to test the effectiveness of the 'Occupational self-analysis' program in people with Serious Mental Disorder specially on life satisfaction, participation in meaningful activities, perception of balance and occupational satisfaction, compared to the standard intervention received in a Therapeutic Community of Mental Health. The program was implemented for 4 months, twice a week, while the control group received the standard treatment. Ten people participated in the 'Occupational self-analysis' program. Results show that participants improved their perception of occupational balance and occupational satisfaction, as well as increasing their participation in meaningful activities.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Intervention Control Condition

Interventions

Occupational self-analysisBEHAVIORAL

Occupational self analysis program is delivered in group sessions, each session lasting 45 minutes, twice a week. Also Individual sessions are held throughout the program with each participant, with the intention of clarifying certain concepts and resolving specific difficulties that were occurring.The thematic modules worked are 5; occupation-health and difficulty, occupational balance, adaptation strategies to difficulties, social relationships and knowing other realities. The methodological strategies used to structure the program were the Model of Human Occupation (MOHO) and the See-Judge-Act methodology

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Having a serious mental illness * Living in the Therapeutic Community or attend the device's day program. Exclusion Criteria: * Havin Acute psychopathology * Diagnosis of cognitive impairment * Dependence or abuse of toxic substances

Locations (1)

Comunidad Terapeutica de salud mental Valme

Dos Hermanas, Sevilla, Spain

Outcomes

Primary Outcomes

Satisfaction with Life Scale

It is a self-administered questionnaire that consists of 5 items. It measures the subjective criterion of life satisfaction, with multiple response alternatives ranging between 5 (strongly agree) and 1 (strongly disagree). The score ranges between 5 and 25. The reliability index calculated for the Cronbach's alpha scale indicates that the scale had acceptable internal consistency

Time frame: From enrollment to the end of treatment at 16 weeks

Occupational Balance Questionnaire

It consists of a brief self-report questionnaire with 13 items that measure occupational balance. The person has to rate the degree of agreement with each of the statements presented. A 6-point ordinal scale is used ranging from 0 (strongly disagree) to 5 (strongly agree). Thus, the maximum score that can be obtained is 65 points by adding the points for each item which means the greater the occupational balance. The scale, in its Spanish version, has adequate psychometric properties.

Time frame: From enrollment to the end of treatment at 16 weeks

Engagement in Meaningful Activities Scale

Is the adaptation to the Spanish context of the "Engagement in Meaningful Activities Survey" (EMAS) (Goldberg et al., 2002) , it is a self-report, it consists of 12 items, developed specifically for people with SMI. Measures the degree of participation in meaningful activities. Items are answered using a 4-point Likert scale ranging from 1 (never) to 4 (always). The score is obtained by the sum of the responses to the 12 items, which ranges from 12-48.

Time frame: From enrollment to the end of treatment at 16 weeks

Satisfaction with Daily Occupation - Occupational Balance (SODEO)

It is an instrument based on an interview that consists of 13 items organized under 4 areas: Productivity, Leisure or free time, Housework and Self-care. Evaluates: The number of activities in which the person participates daily, the score can range between 0 and 13. The occupational satisfaction derived from participating in this activity, the participant rates each item ranging from 1 (extremely dissatisfied) to 7 (extremely dissatisfied). satisfied). The satisfaction score can range between 13 and 91. And the perceived occupational balance within each area in terms of doing very little (-2), little (-1), neither much nor little (0), a lot (1) or too much (2). The score range is between -8 and 8.

Data from ClinicalTrials.gov

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